| NPI | 1891781753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A40968) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A40968) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: CA A40968) | |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2013-11-04 |